Wednesday, April 24, 2013

Doctors Not Revolutionaries !

Fighting for movements like janlokpal, right to information act, judicial reforms etc. is a long drawn struggle. People who fight for it know about that, and are prepared for the long haul, dedicating a major part of their lives in achieving such reforms. Doctors do protest, ultimately we have our limitations.We are doctors, we are socially conscious and we do raise our voice and register our protest. Our ultimate aim is to help the society Via the healthcare system. So being pragmatic does not mean abandoning our cause.
If doctors in uttar pradesh go and write the exam, which they were protesting against, it's not immoral nor does it imply a defeatist attitude. Fact is that they lost out on preventing the exam from being conducted.
People outside can be highly sceptical and crticise the decision, and blame them to be mere sheep in the system who will ultimately sway to the whims and fancies of the people above them, but its not completely true. We have to realise that we do not live in an utopian society, highly idealistic thoughts are encouraged, and people are willing to fight a certain extent to achieve such values.
1. They did protest against the state exam and wanted one exam for the whole nation
2. Now, if they boycotted the state exam( it's obvious and proven throughout history that 100% of any population, community , or group , never stands up for its rights. So in case a lot of students did end up not giving the exam (and also assuming that people boycotting it have high ideals and also equally meritorious) , the remaining few still would have. Keep in mind the no. Of seats which are up for grabs for post graduation.
3. Since the matter is subjudice in the supreme court, we wouldn't know what the decision/verdict of Supreme Court would be.
4. Just incase the Supreme Court does convert Neet to the previous aipg pattern of counselling, all those students who didn't write the exam and were deservingly meritorious, would lose out on 50% of the seats. Since Most of Us, still do believe in the system but,may be not the people involved in it most of the times, still think the system to an extent works, and it will take time for it to evolve for the better[of course we shouldn't keep quiet to let it take its own sweet time]
5. Mostly the people protesting were for the Delay of results being announced primarily and careers being held to ransom and then of course the Bigger Larger issue in hand about a common entrance test.
6. Incase the Supreme Court does rule in favour of the common entrance test, of course this state exam which was conducted would be scrapped.
Please do not pass judgement on those who wrote the exam. Understand, the intricacies of this complex issue.
There are only a few doctors in this country, and for the next few years to come, fewer specialists. Doctors are highly educated, and to certain extent have good virtues which are considered by the majority as good , due to the kind of profession they are in. Their ultimate goal is to TREAT ill patients.
Many of them I know are highly versatile and could have chosen anything as their career path , but their decision was to be a doctor ( It's a favour they did themselves and not anybody else :) )
Keeping the ultimate goal in mind, Yes they cannot be extremely rebellious and revolutionary.
Blindly believing and fighting for a cause is As bad as not at all fighting for it.
A certain amount of tact, a little foresight, is required.
The best way to bring about change is to work in the system, and make sure you don't become a part of the rut, and bring about betterment of the system.
JAI HIND

Sunday, April 14, 2013

So you think it's a "neet" joke!

New development : NEETPG to be included in the new diagnostic criteria as a risk factor for the following diseases
1. accelerated COPD
2. Coronary Artery Disease ( by increasing obesity , increasing smoking, increasing stress etc.)
3. Alcoholic Liver Disease
4. Chronic Depression and in some Bipolar disorder
5. Type 2 diabetes
6. Increased Incidence of Schizophrenia, although only a few case reports ( no meta-analysis )
7. Hahaha.. Like the most ridiculous complication given in so many ridiculous NEETPG MCQ books, it predisposes to DEATH!
8. A new psychiatric disease called "shameless son/daughter syndrome" has been documented , where patients have been known to siphon off money from parents even after becoming doctors, for basic amenities ( source : Unknown)
9. Episodic insomnia

No so "NEET"

Steps to improve medical education in India
1. First: Increase the expenditure on Healthcare and Education in India. A GDP of 1 % is woefully inadequate.
2. Nationalize private medical colleges that do not maintain a required standard.
2(a) Increase the remuneration of MCI officials so that they may carry out their duties without being tempted by bribes and so that the quality monitoring of all colleges is of the required standard.
3. Rural Community Level hospitals need to be turned into tertiary care centers and into medical colleges eventually , so that they are able to turn out an increasing number of specialist doctors and thus also increase favourably the doctor: population ratio in under served areas.
4. The pay of doctors working in government institutions must be high with tax exemptions for those working in rural areas.
4(a) The pay of interns should be made equal or at least equal to the starting pay of an IIT graduate / an Engineering graduate with a campus placement. This impetus will encourage them to work sincerely and honestly (as many of them already do).
4(b) Doctors working at PHC levels should be provided with all the basic amenities such as clean living quarters, and a continuous supply of water and electricity. This would help to negate some of the reasons why doctors do not want to go and work in a rural setup. Along with these, they should be assured of a pay equal to that of a doctor working in an urban area.
5.The Ministry of Health should be placed in the hands of doctors who have a degree in Public Health and have had at least 10 years of clinical experience.
6. Standardization of the tuition fees of the remaining private colleges, which have been excelling and maintaining standards, to achieve a balance between affordability for the target student population and financial viability for the colleges themselves.
7. why should reservations be allowed in the critical and hallowed field of medical education? Certain allowances and scholarships may be given to financially underprivileged students irrespective of Caste for admission to MBBS only. Allowing reservations in Postgraduate courses for doctors is not only ridiculous but seriously jeopardizes the health of our country in a direct way. It is clear that such practices are followed to gain favour among the electorate.
8. Allowing the smooth execution of the NEET-UG/PG entrance examinations. Students who are children of Central bank employees and whose parents serve in the Armed Forces do not have a domicile certificate of any state. Moreover the standards of examination differ tremendously from state to state. Why should mediocre students of one state be allowed to do the very same degree refused to better students belonging to another state because it does not have as many colleges? The other points of contention that favour a common entrance test a nationwide standardization and a higher degree of transparency.
8(a) For achieving the goal of a common entrance test at the UG level in order to gain admission into an MBBS course, Education should be struck off the State list, and made a Central subject so that everyone may be educated with a uniform syllabus. On the same note, improvements in public school education must be made so that the requirement of additional, and highly exhaustive coaching classes may be made redundant.
Many more suggestions are welcome.
9. To convert the two year diploma seats offered through md/ms entrance exams and make it into a 3 year MD/MS course.
9(b) to integrate DNB and MD/MS courses ( if they are the same level as the Supreme Court says they are , why do we need different names)